Anti-LGBTQI+ public policies overwhelmingly target youth and young adults, disrupting access to educational opportunities, ...

This article summarizes the provisions of the final 2026 HHS Notice of Benefit Payment Parameters related to the individual ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized pricing methodology across payers.

President Trump reinstated an expanded version of the so-called “Mexico City policy,” which prevents organizations that ...

While evidence-based decisions are essential, they must be paired with effective public messaging that builds trust and ...

David J. Nyweide ([email protected]) is a social science research analyst in the Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, in Baltimore, Maryland.

Consolidation of physician practices, largely driven by health systems, has motivated policy efforts to move care toward lower-price, non–health system settings. At the same time, however, private ...

Oklahoma and South Carolina are among nine states that use some form of provider-based reference pricing to contain spending ...

Private equity (PE) acquisitions of health care providers are often framed as a monolithic intervention, but firms’ strategies for generating returns for investors may vary. In a ...

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

Transparency in the program is more than just a mechanism for fair pricing—it is a driving force that diminishes the returns on non-innovative expenditures such as lobbying, so that resources could be ...